ࡱ> '` Ёbjbj 4G :':':':'&(9>),,,,,^/<@0X=Z=Z=Z=Z=Z=Z=$7?hA~=u2,,22~=,,=+6+6+62.,,X=+62X=+6+666,) PmP:'268 >09>6'B 3'B6'B6$0hH1J+61<1000~=~=40009>2222"$"   EMPLOYEE & GRADUATE ASSISTANT DATA COLLECTION & DATA CHANGE FORMAdministrative & Professional Staff. Civil Service, Faculty, & Graduate AssistantsIDENTIFICATION & CONTACT INFORMATIONName: FORMTEXT      Soc Sec No.:  FORMTEXT      Banner ID: FORMTEXT      (To change your legal name, submit W4 cards and a copy of the social security card bearing the new name.)  FORMCHECKBOX  I am a former SIUE student and/or employee; however, my past SIUE records are stored under the  following name(s), not my current legal name:  FORMTEXT      Preferred First Name (other than legal name): FORMTEXT      Status:  FORMCHECKBOX  I am a new SIUE employee  FORMCHECKBOX  I am a current SIUE employee  FORMCHECKBOX  I am a graduate assistant  FORMCHECKBOX  I recently applied for admission as a student to SIUE, or I am a current student.Address & Phone: New employees please enter your mailing address and phone number(s) below. Address and phone changes should be made through Banner Self-Service. Login to Self-Service through the HR Home Page under CougarNet at www.siue.edu/humanresources.Phone:  FORMTEXT      Cell: FORMTEXT      Mailing Address w/City, State & Zip:  FORMTEXT       FORMCHECKBOX Confidential Record Indicator: By checking this box, I am indicating that I DO NOT authorize nor consent to the disclosure, release or publication of my personal contact information (home address, home telephone number, spouse information) in a directory publication and/or for University-related events, promotions, notification and/or mailings. (NOTE: Please contact the Office of the Registrar to determine what information on your student records will also become confidential if this option is selected for your employment records).MARITAL STATUS & EMERGENCY CONTACT INFORMATION please make changes to existing information by logging in to Banner Self-Service through the Human Resources Home Page under CougarNet at  HYPERLINK "http://www.siue.edu/humanresources" www.siue.edu/humanresources. Marital Status: FORMCHECKBOX  Divorced (D)  FORMCHECKBOX  Married (M) FORMCHECKBOX  Other (O)  FORMCHECKBOX  Separated (P)  FORMCHECKBOX  Rather Not Specify (R)  FORMCHECKBOX  Single (S)Spouses Name: FORMTEXT      Spouse s Address:  FORMTEXT       FORMTEXT      Spouse s Phone: FORMTEXT     /  FORMTEXT       FORMTEXT     Emergency Contact (if other than or in addition to spouse):Relationship: FORMTEXT      Name: FORMTEXT      Address: FORMTEXT       FORMTEXT      Phone: FORMTEXT     /  FORMTEXT       FORMTEXT     CAMPUS ADDRESS & PHONE INFORMATION (for changes not submitted on an employment contract)Box No.: FORMTEXT     Building: FORMTEXT      Room No.: FORMTEXT      Phone: FORMTEXT      Campus:  FORMCHECKBOX  Alton  FORMCHECKBOX  E. 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(Definitions for each of these responses are available on the Human Resources Forms web page, in addition to this Data Collection/Change Form.) Do you consider yourself Hispanic or Latino?  FORMCHECKBOX  Hispanic or Latino  FORMCHECKBOX  Not Hispanic or Latino Racial Categories - please select one or more of the following that describe you:  FORMCHECKBOX  American Indian or Alaska Native  FORMCHECKBOX  Asian  FORMCHECKBOX  Black or African American  FORMCHECKBOX  Native Hawaiian or Other Pacific Islander  FORMCHECKBOX  White Country of citizenshipCountry of citizenship (if other than the United States): FORMTEXT      Check all of the following that apply: FORMCHECKBOX  Vietnam Era Veteran FORMCHECKBOX  Special Disabled Veteran FORMCHECKBOX  Other Protested Veteran FORMCHECKBOX  Individual with a DisabilityIf you indicated above that you have a disability, please describe below any special accommodations which may be required. (Note: Medical confirmation may be required.)  FORMTEXT       Employee or Grad Assistant SignatureDateStatus:  FORMCHECKBOX  Admin/Prof Staff  FORMCHECKBOX  Faculty  FORMCHECKBOX  Civil ServiceAdmin/Prof Staff, Civil Service, and Faculty please submit form to Human Resources, Box 1040, RH 3210 FORMCHECKBOX  Grad Ast  Submit form to Grad School, Box 1046, RH 2202, or log on to Banner Self-Service for specific data changes. 10/09 BtDtXttt*w2xxyRIIII $IfgdjVkd,$$IfTl40%n!4 laf4yt`rT $Ifgd`r $IfgdSUCkd]+$$IfTl4%d&4 laf4yt`rTDtFtPtRtVtXtZtvtxtzt~ttttttttt*wwòwewMew,;K{Ad ?b}E]CѓVVXAj䍏RzD5#vFZ>1JۨW;RNg]@%SHHIW3Owm0m^ZFQr u%|TjCn fW: ($7u #i*[EA0Z+~!4^__%h\y劶[lߕ'&_x&Zx j#/m;v7Ek+)|w؁ P֬.m27 CZ l)XYG7EktqpftװR[¢2' -*F'45U )= ғ*,X97peō`KPYxЄ4JO] q|"C%43pMѲ`UڮP;yKaG@^abbK^qKRԺ^Ye6[-Ϫ!<\ ]'CVAiiUڔ`fa2]!slj1d j  5![KK?_ǝT4YSu~q7de58)QKB`،trQ1i)8Hgה-x{~W[VBOq?0jn~ =尰10 .'CAX8^[TɿZ89ZI|ő-\“L's+0 '׿3fw)>Q!6˥3@p>7Hyn3o(NuS;j8yvt?Nv$w"HfD10kC=8? íYqɘP N];W=jTR=%}sM}×Eeԭr7bX-aLl3eܹjl'-m;-I7! 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